Hypoglycemia, or low blood glucose, can happen even with care, since insulin requirements can change without warning. Some common reasons for hypoglycemia include increased or unplanned exercise, illness, or medication interactions, where another medication potentiates the effects of the insulin. Vomiting and diarrhea episodes can bring on a hypoglycemia reaction, due to dehydration or simply a case of too much insulin and not enough properly digested food. Symptoms of hypoglycemia need to be taken seriously and addressed promptly. Since serious hypoglycemia can be fatal, it is better to treat a suspected incident than to fail to respond quickly to the signs of actual hypoglycemia. Dr. Audrey Cook addressed the issue in her 2007 article on diabetes mellitus: “Hypoglycemia is deadly; hyperglycemia is not. Owners must clearly understand that too much insulin can kill, and that they should call a veterinarian or halve the dose if they have any concerns about a pet’s well-being or appetite. Tell owners to offer food immediately if the pet is weak or is behaving strangely.”
It happens rarely, but it is possible for a pancreatitis attack to activate the endocrine portion of the organ back into being capable of producing insulin once again in dogs. It is possible for acute pancreatitis to cause a temporary, or transient diabetes, most likely due to damage to the endocrine portion’s beta cells. Insulin resistance that can follow a pancreatitis attack may last for some time thereafter. Pancreatitis can damage the endocrine pancreas to the point where the diabetes is permanent.
Those suffering from Type 1 diabetes make up about 5-10% of diabetes sufferers and it is controlled by administering insulin either by injection or by a drip feed. A missed dose of insulin for a Type 1 diabetic can cause serious problems including loss of consciousness and they are also at risk for serious complications.
Chronic elevation of blood glucose level leads to damage of blood vessels (angiopathy). The endothelial cells lining the blood vessels take in more glucose than normal, since they do not depend on insulin. They then form more surface glycoproteins than normal, and cause the basement membrane to grow thicker and weaker. In diabetes, the resulting problems are grouped under “microvascular disease” (due to damage to small blood vessels) and “macrovascular disease” (due to damage to the arteries).
As a young ER doctor, Peter Attia felt contempt for a patient with diabetes. She was overweight, he thought, and thus responsible for the fact that she neede…
The number of dogs diagnosed with diabetes mellitus has increased three-fold in thirty years. In survival rates from almost the same time, only 50% survived the first 60 days after diagnosis and went on to be successfully treated at home. Currently, diabetic dogs receiving treatment have the same expected lifespan as non-diabetic dogs of the same age and gender.
It is important to note the risk factors for the development of diabetes which include a strong family history, obesity, and a sedentary lifestyle and women who had gestational diabetes or delivered big babies (those which weighed more than four kilograms at birth)
• Blood. High blood pressure, cholesterol and triglycerides can result from diabetes all of which can contribute to cardio vascular and kidney disease. A blood test at least every three months will enable the monitoring of these levels. An adjustment to lifestyle or medication can usually sort out any problems quickly.
A random blood sugar of greater than 1160;mmol/l (20060;mg/dL) in association with typical symptoms or a glycated hemoglobin (HbA1c) of greater than 5% is another method of diagnosing diabetes. In 2009 an International Expert Committee that included representatives of the American Diabetes Association (ADA), the International Diabetes Federation (IDF), and the European Association for the Study of Diabetes (EASD) recommended that a threshold of ≥5% HbA1c should be used to diagnose diabetes. This recommendation was adopted by the American Diabetes Association in 201 Positive tests should be repeated unless the person presents with typical symptoms and blood sugars >1160;mmol/l (>20060;mg/dl).